| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.00 | $2,240.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $641.00 | $2,371.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $209.22 | $764.11 | $1,176.65 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |